Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

FREDERIC PHARMACY LLC

NPI: 1679991236 · FREDERIC, WI 54837 · Pharmacy · NPI assigned 04/01/2014

$1K
Total Medicaid Paid
80
Total Claims
75
Beneficiaries
3
Codes Billed
2021-08
First Month
2022-01
Last Month

Provider Details

Authorized OfficialLUNDQUIST, ANITA (PHARMACY DIRECTOR)
NPI Enumeration Date04/01/2014

Related Entities

Other providers sharing the same authorized official: LUNDQUIST, ANITA

ProviderCityStateTotal Paid
UNITY PHARMACY, LLC BALSAM LAKE WI $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 59 $1K
2022 21 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0001A 18 17 $648.72
0002A 17 16 $648.72
91300 45 42 $0.00